Provider Demographics
NPI:1477811867
Name:SHELDON B. COHEN, MD PA
Entity Type:Organization
Organization Name:SHELDON B. COHEN, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELDON
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:404-266-3247
Mailing Address - Street 1:881 SOMERSET DR NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-3732
Mailing Address - Country:US
Mailing Address - Phone:404-266-3247
Mailing Address - Fax:404-364-5316
Practice Address - Street 1:881 SOMERSET DR NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-3732
Practice Address - Country:US
Practice Address - Phone:404-266-3247
Practice Address - Fax:404-364-5316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA63872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty